Healthcare Provider Details

I. General information

NPI: 1134781800
Provider Name (Legal Business Name): MAREN POPE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N 92ND ST
MILWAUKEE WI
53226-1202
US

IV. Provider business mailing address

900 N 92ND ST
MILWAUKEE WI
53226-1202
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-6328
  • Fax:
Mailing address:
  • Phone: 414-805-6328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number2294340
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number124318
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: